Adalberto Fonticiella, MD
Internal Medicine · Paragould, ARNPI 1922088269
Payments from drug & device makers
Across 161 payments — averaging $16.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$473
- Amgen$322
- Novo Nordisk$281
- Novartis$216
- AbbVie$180
- Mylan Specialty L.p.$169
- plus $971 from 19 others
What the payments were for
- Food & beverage$2,613100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| AstraZeneca | 26 | $473 |
| Amgen | 19 | $322 |
| Novo Nordisk | 24 | $281 |
| Novartis | 12 | $216 |
| AbbVie(2 entities) | 16 | $180 |
| Mylan Specialty L.p. | 10 | $169 |
| Boehringer Ingelheim | 10 | $160 |
| Vertex | 1 | $125 |
| GSK | 6 | $102 |
| Lilly USA, LLC | 7 | $99 |
| Sumitomo Pharma America, Inc. | 3 | $59 |
| Johnson & Johnson | 3 | $49 |
| Bayer | 3 | $46 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $45 |
| Abbott | 2 | $44 |
| E.r. Squibb & Sons, L.L.C. | 3 | $42 |
| Pfizer | 2 | $36 |
| Shield Therapeutics Inc | 2 | $35 |
| Sanofi-aventis U.S. LLC | 2 | $27 |
| Ironwood Pharmaceuticals, Inc | 2 | $26 |
| Shire North American Group Inc | 1 | $19 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $19 |
| Inspire Medical Systems, Inc. | 1 | $14 |
| Merck | 1 | $14 |
| Melinta Therapeutics, LLC | 1 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- JOURNAVX$125
How this compares
$2,613 in reported general payments places this provider in the 80th percentile of 614 internal medicine providers in Arkansas.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| JardianceEmpagliflozin | 166 | $135,784 |
| EliquisApixaban | 143 | $112,330 |
| OzempicSemaglutide | 54 | $55,142 |
| Tresiba Flextouch U-200Insulin Degludec | 30 | $45,330 |
| MounjaroTirzepatide | 42 | $45,224 |
| FarxigaDapagliflozin Propanediol | 53 | $44,692 |
| Nurtec OdtRimegepant Sulfate | 15 | $38,170 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 45 | $36,536 |
| EntrestoSacubitril/Valsartan | 38 | $33,008 |
| MyrbetriqMirabegron | 34 | $20,520 |
| Tresiba Flextouch U-100Insulin Degludec | 36 | $20,273 |
| Breo ElliptaFluticasone/Vilanterol | 35 | $19,011 |
| TradjentaLinagliptin | 31 | $15,330 |
| VeltassaPatiromer Calcium Sorbitex | 11 | $12,980 |
| Repatha SyringeEvolocumab | 22 | $12,869 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Boehringer IngelheimJardiance, Tradjenta, Spiriva Respimat, Combivent Respimat | $160 | $165,669223 claims |
| PfizerEliquis, Nurtec Odt | $36 | $150,500158 claims |
| AstraZenecaFarxiga, Brilinta, Breztri Aerosphere | $473 | $67,09793 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $102 | $55,54780 claims |
| Novo NordiskOzempic | $281 | $55,14254 claims |
| Lilly USA, LLCMounjaro, Humalog | $99 | $49,02855 claims |
| NovartisEntresto | $216 | $33,00838 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix | $45 | $9,35818 claims |
| Sanofi-aventis U.S. LLCMultaq | $27 | $8,25511 claims |
| AbbVieLinzess | $180 | $6,36912 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 80th percentile of 614 internal medicine providers in Arkansas.
Other internal medicine in Paragould
- Priyantha WijewardaneLittle Rock$43.6M
- Joseph RoseLittle Rock$1.1M
- David JohnsonSearcy$630K
- Kathleen GannonRogers$450K
- Alexander KaczenskiLittle Rock$305K
- John HendersonSearcy$102K
- David PyleJonesboro$93K
- Manisha SinghLittle Rock$71K
- Govinda LohaniN Little Rock$55K
- Srikanth VallurupalliLittle Rock$34K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.